Deborah Ann Dimenna

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202000768 Issued in VA

Practice address

2800 Polo Pkwy
Midlothian, VA 23113-1454

Phone

(804) 379-2800

NPI assigned

Feb 10, 2021

Last updated

Feb 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1114519154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14520 CASTLEFORD DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136460",
            "telephone_number": "804-304-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 POLO PKWY",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231131454",
            "telephone_number": "804-379-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMENNA",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202000768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Gray Dietz, C.P.N.P.
• Arleeta M Diggs, MD
• Caitlin Dillon, M.D.
• Nicole Dillon
• Alexis Anne Dimaio, MD
• Elaine Morgan Dimock
• Kevin Dintino, PT, DPT
• Annmarie Disavino, BEHAVIORAL TECH
• Giselle Dismuke
• Lisa Disney

• Speech-Language Pathologist in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.